APPLICATION OF NASOLABIAL FLAP AND EAR CARTILAGE IN REPAIRING DEFECTS AFTER NASAL ALA BASAL CELL CARCINOMA RESECTION_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

QINGYong ,  CENYing , CHENJunjie , XUXuewen

Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China;

Corresponding author：

CENYing, Email: cenying0141@163.com

Keywords：

Nasal ala defect; Basal cell carcinoma; Nasolabial flap; Ear cartilage

DOI：

10.7507/1002-1892.20160150

Video：

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Objective To investigate the effectiveness of nasolabial flap and ear cartilage in repairing defects after nasal ala basal cell carcinoma resection. Methods Between January 2012 and August 2014, 8 patients with nasal ala basal cell carcinoma underwent tumor resection and defect repair with nasolabial flap and ear cartilage. Among the 8 patients, 5 were male and 3 were female, with an average age of 65 years (range, 45-76 years). The left side and right side were involved in 3 cases and 5 cases respectively. Carcinoma confirmed by pathological examination in all patients. The time between first biopsy and resection was 7-14 days (mean, 10 days). The defect ranged from 1.5 cm×1.5 cm to 2.0 cm×1.5 cm after tumor resection, and the size of nasolabial flaps ranged from 4.0 cm×1.5 cm to 5.0 cm×2.0 cm. The operations of cutting off the pedicle and thinning skin flap were performed at 6 months after first operation. Results All flaps survived. Incisions healed by first intention, and no related complication occurred. No carcinoma recurred after cutting off the pedicle. All patients were followed up for 6 months. All patients were satisfied with the nasal contour, symmetrical projection of the alar dome, and no obvious scar. Conclusion Nasolabial flap transfer and ear cartilage transplant method not only can repair the nasal ala defects, but also can avoid obvious scar and obtain good nasal ala contour profile. The shortcoming is that patients have to receive two operations.

Citation： QINGYong, CENYing, CHENJunjie, XUXuewen. APPLICATION OF NASOLABIAL FLAP AND EAR CARTILAGE IN REPAIRING DEFECTS AFTER NASAL ALA BASAL CELL CARCINOMA RESECTION. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(6): 736-738. doi: 10.7507/1002-1892.20160150 Copy

1.	Huang YS, Chen XX, Yang SX, et al. Preliminary exploration of the clinical features of Chinese patients with skin malignancies and premalignancies: a retrospective study of 1420 cases from Peking University First Hospital. J Eur Acad Dermatol Venereol, 2013, 27(9): 1114-1119.
2.	Koh D, Wang H, Lee J, et al. Basal cell carcinoma, squamous cell carcinoma and melanoma of the skin: analysis of the Singapore Cancer Registry data 1968-97. Br J Dermatol, 2003, 148(6): 1161-1166.
3.	Aceituno-Madera P, Buendía-Eisman A, Arias-Santiago S, et al. Changes in the incidence of skin cancer between 1978 and 2002. Actas Dermosifiliogr, 2010, 101(1): 39-46.
4.	Abbas OL, Borman H. Basal cell carcinoma: A single-center experience. ISRN Dermatol, 2012, 2012: 246542．.
5.	Menick FJ. Large, deep and adversely located defects: resurfacing with regional flaps//Frederick J, Menick MD. Nasal reconstruction: art and practice. Philadelphia: Saunders, 2008: 91-108.
6.	Burget GC, Menick FJ. The subunit principle in nasal reconstruction. Plast Reconstr Surg, 1985, 76(2): 239-247.
7.	Maher IA, Lavigne K. Use of the standing cone allows for subunit repair of a large composite cheek and nose defect. Dermatol Surg, 2014, 40(11): 1255-1258.
8.	宋可新, 王友彬, 黄渭清, 等. 鼻部浅表肿物切除后的创面修复. 中华损伤与修复杂志(电子版), 2014, 9(1): 55-56.
9.	Lindsay KJ, Morton JD. Flap or graft: The best of both in nasal ala reconstruction. J Plast Reconstr Aesthet Surg, 2015, 68(10): 1352-1357.
10.	Akdagli S, Lee MK, Most SP. Bilobe flap with auricular cartilage graft for nasal alar reconstruction. Am J Otolaryngol, 2015, 36(3): 479-483.
11.	Lin W, Qing Y, Liu J, et al. Alar flap combined with free auricular composite flap for the reconstruction of nasal alar defect. J Craniofac Surg, 2015, 26(2): 562-564.
12.	郭澍, 韩思源, 卢利, 等. 鼻唇沟皮瓣在鼻唇缺损修复中的应用. 中国美容整形外科杂志, 2007, 18(3): 169-171.

1. Huang YS, Chen XX, Yang SX, et al. Preliminary exploration of the clinical features of Chinese patients with skin malignancies and premalignancies: a retrospective study of 1420 cases from Peking University First Hospital. J Eur Acad Dermatol Venereol, 2013, 27(9): 1114-1119.
2. Koh D, Wang H, Lee J, et al. Basal cell carcinoma, squamous cell carcinoma and melanoma of the skin: analysis of the Singapore Cancer Registry data 1968-97. Br J Dermatol, 2003, 148(6): 1161-1166.
3. Aceituno-Madera P, Buendía-Eisman A, Arias-Santiago S, et al. Changes in the incidence of skin cancer between 1978 and 2002. Actas Dermosifiliogr, 2010, 101(1): 39-46.
4. Abbas OL, Borman H. Basal cell carcinoma: A single-center experience. ISRN Dermatol, 2012, 2012: 246542．.
5. Menick FJ. Large, deep and adversely located defects: resurfacing with regional flaps//Frederick J, Menick MD. Nasal reconstruction: art and practice. Philadelphia: Saunders, 2008: 91-108.
6. Burget GC, Menick FJ. The subunit principle in nasal reconstruction. Plast Reconstr Surg, 1985, 76(2): 239-247.
7. Maher IA, Lavigne K. Use of the standing cone allows for subunit repair of a large composite cheek and nose defect. Dermatol Surg, 2014, 40(11): 1255-1258.
8. 宋可新, 王友彬, 黄渭清, 等. 鼻部浅表肿物切除后的创面修复. 中华损伤与修复杂志(电子版), 2014, 9(1): 55-56.
9. Lindsay KJ, Morton JD. Flap or graft: The best of both in nasal ala reconstruction. J Plast Reconstr Aesthet Surg, 2015, 68(10): 1352-1357.
10. Akdagli S, Lee MK, Most SP. Bilobe flap with auricular cartilage graft for nasal alar reconstruction. Am J Otolaryngol, 2015, 36(3): 479-483.
11. Lin W, Qing Y, Liu J, et al. Alar flap combined with free auricular composite flap for the reconstruction of nasal alar defect. J Craniofac Surg, 2015, 26(2): 562-564.
12. 郭澍, 韩思源, 卢利, 等. 鼻唇沟皮瓣在鼻唇缺损修复中的应用. 中国美容整形外科杂志, 2007, 18(3): 169-171.

Chinese Journal of Reparative and Reconstructive Surgery

APPLICATION OF NASOLABIAL FLAP AND EAR CARTILAGE IN REPAIRING DEFECTS AFTER NASAL ALA BASAL CELL CARCINOMA RESECTION

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